The present invention relates to a biological implant and a method for manufacturing a biological implant.
A titanium alloy has a light weight, no magnetism, high corrosion resistance, and high strength, and is thus widely used for orthopedic implants or dental implants. Orthopedic implants include, for example, implants for spine and for joint replacement, and each include a metal body implantable in the bone. The metal body has, on its surface, unevenness at the micrometer to millimeter scale defined with metal particles such as metal beads adhering to the surface. The surfaces of the metal particles are roughened with an etchant at the micrometer to nanometer scale.
A biological implant is disclosed. In one embodiment, a biological implant is implantable in a base being a part of a living organism. The biological implant includes an implant body including at least an outer circumferential surface containing a titanium alloy. The implant body is implantable in the base. Based on a first curve indicating a profile of the outer circumferential surface of the implant body obtained with a measurement length of 25.4 µm and a second curve obtained by removing a long-wavelength component from the first curve at a cutoff value of 5 µm in image processing performed on an image of a cut surface of the implant body perpendicular to the outer circumferential surface of the implant body, an arithmetic mean roughness value of the outer circumferential surface calculated using the second curve is greater than or equal to 0.2 µm.
In another embodiment, a biological implant is implantable in a base being a part of a living organism. The biological implant includes an implant body including at least an outer circumferential surface containing a titanium alloy. The implant body is implantable in the base. Based on a first curve indicating a profile of the outer circumferential surface of the implant body obtained with a measurement length of 25.4 µm in image processing performed on an image of a cut surface of the implant body perpendicular to the outer circumferential surface of the implant body, a ratio of a length of the first curve to the measurement length is greater than or equal to 1.5.
A biological implant and the bone are to be secured with a greater force. The present disclosure provides a titanium-alloy biological implant that can be firmly secured to a base such as a biological bone.
The implant body 2 illustrated in
The implant 1 being a dental implant may be referred to as a fixture.
A dentist removes a deficient portion of a tooth or a defective tooth from a patient’s mouth and implants the implant 1 as its replacement.
The implant 1 immediately after being implanted is secured under a frictional resistance force between the threaded portion 3 and the bone. This securing force immediately after the implantation is referred to as an initial securing force. The initial securing force decreases over time with a biological reaction (or bone remodeling). The surface of the implanted implant body 2 is in contact with new bone that forms with a biological reaction. As the new bone gradually increases, the securing force between the implant body 2 and the bone increases.
A therapeutic period with no upper structure such as a tooth crown being attached is typically provided until a sufficiently high securing force is obtained through new bone formation. More specifically, any higher securing force resulting from new bone formation can directly reduce the therapeutic period and the period for which the patient loses occlusion. The implant surface is thus to increase the force of securing the bone through new bone formation.
The inventors have revealed that an increased force of securing the bone between the implant body 2 and a base (e.g., a jawbone) depends on the surface state of the implant body 2 at the sub-micrometer scale. The relationship between the force of securing the bone and the surface state of the implant body 2 at the sub-micrometer scale will now be described in detail.
Although
In a specific example, the implant according to the present embodiment may be applied to an implant for securing the spine. The implant 1 includes multiple implant bodies 2 implantable in multiple spines, attachments at the heads of the implant bodies 2, and a rod coupled to the attachments to connect the multiple implant bodies 2 together. In this case, each implant body 2 is also referred to as a bone screw or a pedicle screw. When each implant body 2 is implanted into the spine and the rod is coupled to the multiple attachments, the multiple spines can be secured together.
The implant 1 may be, for example, an implant for joint replacement. In this case, the implant 1 includes a pair of components forming an artificial joint, and the implant body 2 for securing each component to the bone. The implant body 2 may be shaped as a rod or a curved surface with no threaded portion.
In other words, the implant body 2 in the implant 1 may be of any type implantable in a part (e.g., the bone) of the living organism. For example, the implant 1 may be a cosmetic implant for, for example, aesthetic purposes, in addition to a medical implant.
The implant body 2 is made of a titanium alloy. In this case, the implant body 2 made of a titanium alloy refers to the implant body 2 including a titanium alloy contained in at least the outer circumferential surface. The titanium alloy may be an α alloy, a βalloy, or an α-β alloy. The α alloy is a titanium alloy mainly having an α phase, and the βalloy is a titanium alloy mainly having a βphase. The α-β alloy is a titanium alloy with the α and β phases. The α phase has a crystal structure called a hexagonal close-packed structure. The β phase has a body-centered cubic structure. Examples of the α-β alloy include Ti (titanium)-6Al (aluminum)-4V (vanadium), Ti—6Al—7Nb (niobium), Ti—6Al—2Nb—1Ta (tantalum), Ti—3A1—2.5V, Ti—5Al—2.5Fe (iron), and Ti—5Al—3Mo (molybdenum)-4Zr (zirconium). When Ti—6A1—4V is used as a titanium alloy, the implant body 2 has a light weight, no magnetism, high corrosion resistance, and high strength.
To firmly secure the implant body 2 to the base, the outer circumferential surface of the implant body 2 may undergo surface roughening. For example, the surface undergoes surface roughening (hereafter referred to as macro surface roughening) of the order of several tens of micrometers to millimeters, and then undergoes acid etching.
For example, the untreated implant body is transported into a predetermined blasting machine. The blasting machine blows an abrasive with, for example, the centrifugal force or the wind power against the entire outer circumferential surface of the untreated implant body to cause the abrasive to collide against the outer circumferential surface of the untreated implant body. Examples of the abrasive include at least one of alumina, boron, and borax. Borax is used herein in an example. Hereafter, among workpieces to be the implant body 2, a workpiece that has undergone macro surface roughening is referred to as a semi-treated implant body.
This macro surface roughening can further increase the surface roughness of the outer circumferential surface of a semi-treated implant than the surface roughness of an untreated implant body. In other words, the outer circumferential surface of the semi-treated implant body has unevenness corresponding to the abrasive. More specifically, through the blasting, the outer circumferential surface of the semi-treated implant body has a surface roughness value of greater than or equal to 1 µm and less than or equal to 3 µm.In other words, the blasting conditions (e.g., the size, the speed, and the quantity of the abrasive, and the processing time) are determined to provide a surface roughness value of about 1 to 3 µm. The surface roughness value of the outer circumferential surface of the semi-treated implant body can be measured in accordance with a typical standard, ISO25178. The roughness may be measured in accordance with JIS B0601 and JIS B0633.
In step S3, the outer circumferential surface of the semi-treated implant body undergoes wet etching. Wet etching roughens the outer circumferential surface of the semi-treated implant body through a chemical reaction (or corrosion) between the etchant and the semi-treated implant body by placing the outer circumferential surface of the semi-treated implant body into contact with the etchant.
The semi-treated implant body is transported into a predetermined etching machine. The etching machine includes, for example, a tank to hold the etchant, and the semi-treated implant body is immersed in the etchant. Examples of the etchant include an acid mixture containing an ammonium fluoride, a sulfuric acid, and a hydrogen peroxide solution. After the semi-treated implant body is immersed into the etchant for a predetermined time period (e.g., about several minutes), the outer circumferential surface of the semi-treated implant body is etched, and the implant body 2 can be prepared. This etching defines fine unevenness of the order of several hundreds of nanometers on the outer circumferential surface of the implant body 2.
Although the outer circumferential surface of the implant body 2 has a complex porous structure, the etchant can access the inner surface of the porous structure. Thus, the inner surface of the porous structure can uniformly have unevenness of the order of several hundreds of nanometers.
The above surface roughening can increase the surface roughness of the outer circumferential surface of the implant body 2.
The relationship between the surface roughness value Ra of the outer circumferential surface of the implant body and the securing force on the implant body implanted in the base will now be examined.
First, multiple implant bodies with different values of surface roughness were prepared. More specifically, six pure-titanium implant bodies and four Ti-6Al-4V implant bodies 2 were prepared. The pure-titanium implant bodies have a shape the same as or similar to that of the implant bodies 2. The pure-titanium implant bodies underwent surface roughening similar to the surface roughening performed on the implant body 2. In this case, the six pure-titanium implant bodies were prepared under varying blasting conditions and etching conditions. Similarly, the four implant bodies 2 were prepared under varying blasting conditions and etching conditions.
More specifically, the pure-titanium implant bodies underwent the processing described below. The abrasives used as appropriate in the blasting process were borax and alumina. The etchants used as appropriate were an oxalic acid and an acid mixture including a hydrochloric acid and a sulfuric acid. The etching time and other conditions were varied as appropriate. A specific implant body underwent etching consecutively using these two etchants to prepare a pure-titanium implant body.
The abrasives used as appropriate in blasting of the Ti—6A1—4V implant bodies 2 were borax and alumina. The etchants used as appropriate were an acid mixture containing a hydrochloric acid and a sulfuric acid, an acid mixture containing a hydrogen fluoride and a nitric acid, and an acid mixture containing an ammonium fluoride, a sulfuric acid, and a hydrogen peroxide solution. A specific implant body did not undergo etching to form the implant body 2.
Each of the prepared pure-titanium implant bodies and the implant bodies 2 was then implanted into the tibia of a Japanese white rabbit (at the age of 20 to 31 weeks, with a weight of 3.5 to 4.0 kg). After implantation, the securing force on each implant body and the bone gradually increases over several weeks through new bone regeneration caused by a biological reaction.
In this case, after four weeks from the implantation of each implant body to the tibia, a torque test was conducted to measure the removal torque value for removing the implant body 2 from the tibia to evaluate the securing force. This torque test was conducted with reference to mechanical testing methods for metallic bone screws JIS T0311. More specifically, the tibia of the rabbit is removed after four weeks from the implantation, the bone piece containing the implant body 2 is secured to a predetermined securing member, and torque is applied in the removal direction to the implant body. The removal direction is a direction in which the implant body is removed from the bone piece. The torque tester includes the securing member, a driving unit, and a torque detector. The securing member secures the bone piece. A tool that applies torque to the implant body is removably attached to the driving unit. The driving unit includes a motor to rotate the tool and apply torque to the implant body. The torque detector detects, for example, the current flowing through the motor, and calculates the torque value based on the current. The driving unit gradually increases the torque applied to the implant body. The torque detector outputs, as a removal torque value, the torque value at the removal of the implant body from the bone piece.
As described above, the removal torque value for each implant body was measured with the torque tester. The number of measured implant bodies is in a range of seven to ten per type (samples that have died during the experiments are excluded).
At the same time, the surface roughness value of each implant body was measured in the manner described below. In the measurement, the implant bodies prepared under the same conditions as those for the implant bodies used for measuring the securing force were used.
The surface treated through macro surface roughening is evaluated with a typical roughness measurement method (e.g., JIS B 0633 and JIS B 0601). The obtained surface roughness value greatly depends on the unevenness resulting from, for example, macro surface roughening observable before acid etching, and thus the unevenness in a sub-micrometer order resulting from acid etching cannot be evaluated as appropriate. Thus, the inventors have established a method of evaluating unevenness in a sub-micrometer order defined through acid etching with a method (hereafter simply referred to as filtering) involving preparing the cross sections of the treated surfaces, obtaining information about unevenness with a scanning electron microscope, and removing the unevenness observable before acid etching through filtering.
In step S12, a scanning electron microscope was used to capture an image of the cut surface of each implant body with, for example, a magnification of 5000. In this case, a scanning electron microscope S-3400N manufactured by HITACHI (registered trademark) was used to capture an image of a part of the threaded portion 3.
In each captured image, the pixel value of a pixel group indicating the implant body differs from the pixel value indicating the background. In the examples in
The captured image in
Referring back to
In this example, image processing is performed using image processing software WinROOF (trademark) (Mitani Corporation). The image processing device performs the procedures defined by the software to obtain the first curve through the above image processing. The image processing device that runs the software has the function of implementing the operation described below.
The first curve includes a waviness component indicating a surface roughness value of about 1 to 3 µm defined through blasting, and an unevenness component indicating a surface roughness value of the order of several hundreds of nanometers defined through etching. In this example, the waviness component is removed, and the unevenness component is extracted.
Referring back to
In step S15, the image processing device calculates an arithmetic mean roughness value (hereafter referred to as a surface roughness value Ra) with the second curve. This arithmetic mean roughness value is obtained by averaging the absolute values of the difference between the average value of the second curve in the height direction and each point on the second curve.
As shown in
Thus, the implant body 2 may have a surface roughness value Ra of greater than or equal to 0.2 µm.The implant body 2 with this structure can be firmly secured to the base.
In view of the above, for the implant body 2 having a surface roughness value Ra of 0.2 µm, the drastic rise of the removal torque value around a surface roughness value Ra of 0.2 µm is seemingly caused by the unevenness fully engageable with the base on the outer circumferential surface of the implant body 2.
In contrast, the same acid etching was performed on pure titanium and Ti—6A1—4V samples with a known method. The surface roughness value Ra (defined herein) was measured for these samples. The Ti—6Al—4V sample had a surface roughness value Ra of 0.14 µm.The known methods have not reflected the intended scope of the surface roughness of the sub-micrometer order, nor the difference between the surface states of pure titanium and a Ti alloy obtained by the same acid etching. More specifically, simply using a known manufacturing method for a titanium alloy such as Ti—6A1—4V to prepare a biological implant cannot provide the intended surface roughness. Thus, the implant cannot be firmly secured to the base such as a biological bone.
A known method does not use unevenness in a micrometer level observable before acid etching in evaluating the surface roughness. The implant bodies prepared with known multiple manufacturing conditions each showed a surface roughness value Ra of less than or equal to 0.1 µm.More specifically, when prepared simply with a known manufacturing method, a titanium-alloy biological implant cannot be firmly secured to the base such as a biological bone.
The surface roughness value of typical titanium-alloy dental implants available in the market was measured with the method used herein. None of the Ti—6A1—4V dental implants within the investigated range, although not all are included, had a surface roughness value Ra exceeding 0.2 µm.
More specifically, known titanium-alloy implants had a surface roughness value Ra not exceeding 0.2 µm measured with the method defined herein, revealing that the known titanium-alloy implants cannot be firmly secured to the base such as a biological bone.
The titanium-alloy implant body 2 with a surface roughness value Ra of greater than or equal to 0.2 µm is prepared, for example, under the conditions described below. First, a Ti—6A1—4V untreated implant body is prepared. Blasting (step S2) is then performed on the untreated implant body as macro surface roughening to prepare a semi-treated implant body. Etching (step S3) is then performed on the semi-treated implant body with an acid mixture containing an ammonium fluoride, a hydrogen peroxide solution, and a nitric acid as an etchant. The acid composition is, for example, 20 w/v% of an ammonium fluoride, 6 w/v% of a hydrogen peroxide, and a sulfuric acid (total acidity of 30 w/v%). The processing time is set to be, for example, in a range of ten seconds to ten minutes, 30 seconds to three minutes, or more specifically, about one minute. Thus, a Ti—6A1—4V implant body 2 with a surface roughness value Ra of 0.3 µm was prepared.
In the present embodiment, the titanium-alloy implant body 2 has a surface roughness value Ra of greater than or equal to 0.2 µm.Thus, the implant body 2 can be implanted into and secured to the base with a sufficiently high securing force. In addition, a titanium alloy has various characteristics different from pure titanium. For example, Ti—6A1—4V has a light weight, high corrosion resistance, high strength, and high fatigue strength. The titanium-alloy implant body 2 according to the present embodiment including a titanium alloy with distinct features can be implanted into and secured to the base with a high securing force equivalent to that of a pure-titanium implant body.
In the present embodiment, the first curve of the outer circumferential surface of the implant body 2 is not used. The waviness component is removed from the first curve by applying a Gaussian filter to the first curve at a cutoff value of 5 µm.The surface roughness value Ra or the arithmetic mean roughness value for a second curve obtained after removing the waviness component is used. More specifically, the interrelation (correlation) between the removal torque value and the surface roughness value Ra is obtained with the effect of the waviness component being excluded. This causes a drastic change in the removal torque value at the surface roughness value Ra of 0.2 µm as shown in
For an example relationship between the etching conditions and the surface roughness value Ra obtained after removing the waviness component, the surface roughness values Ra were 0.29, 0.30, and 0.24 µm respectively for Ti—6A1—4V samples treated for 30 seconds, one minute, and two minutes with an etchant containing an ammonium fluoride, a sulfuric acid, and a hydrogen peroxide. The surface roughness value Ra was 0.10 µm before etching.
In the above torque test conducted on the implant body prepared under these conditions, the implant body showed a high securing force with the bone, or removal torque of greater than or equal to 0.40 Nm.
A Ti—6Al—7Nb alloy treated with an etchant containing an ammonium fluoride, a sulfuric acid, and a hydrogen peroxide for one minute had a surface roughness value Ra of 0.25 µm.A Ti—6Al—2Nb—1Ta alloy treated with the same etchant for one minute had a surface roughness value Ra of 0.26 µm.
In comparison with the above, a Ti—6A1—4V alloy treated with a known method with an etchant containing 1 wt% of a sodium fluoride and 0.25 N of a hydrochloric acid at 25° C. for five minutes had a surface roughness value Ra of 0.10 µm.A Ti—6Al—4V alloy treated with an etchant containing 0.1 wt% of a sodium fluoride and 0.25 N of a hydrochloric acid had a surface roughness value Ra of 0.04 µm.A Ti—6A1—4V alloy treated with an etchant containing 0.5 wt% of a sodium fluoride, 1 N of a hydrochloric acid, and 2 wt% of a sulfuric acid natrium had a surface roughness value Ra of 0.04 µm.
A Ti—6A1—4V alloy treated with another known method with an etchant containing a hydrogen fluoride and a nitric acid or with an etchant containing a hydrochloric acid and a sulfuric acid at 120° C. for five minutes had a surface roughness value Ra of 0.06 or 0.14 µm.
In the above example, fine unevenness is defined on the outer circumferential surface of the implant body 2 through etching using an etchant. Thus, with the implant body 2 having the outer circumferential surface with a porous structure, the etchant can enter the inside of the porous structure. Thus, the inner surface of the porous structure can uniformly have fine unevenness with a surface roughness value Ra of greater than or equal to 0.2 µm. Thus, fine unevenness can be defined throughout the outer circumferential surface of the implant body 2. The implant body 2 can thus be fully engaged with the base, and can be more firmly implanted into the base.
In the above example, blasting is performed as an example of macro surface roughening. Instead of or in addition to blasting, another process for forming a porous structure may be performed as macro surface roughening. For example, thermal spraying (or thermal spraying process) may be performed to form a porous structure on the outer circumferential surface of the implant body 2. In some embodiments, a porous structure may be formed on the outer circumferential surface of the implant body 2 by allowing at least one of a highly biocompatible metal particle, fiber, and wire to adhere to the outer circumferential surface of the implant body 2 in a dispersed manner.
In some embodiments, for an implant such as an orthopedic implant, the porous structure may be formed on the outer circumferential surface of the implant body 2 through three-dimensional additive manufacturing using, for example, electron beams or a laser. Three-dimensional additive manufacturing enables formation of a complex bone shape (e.g., the shape of the skull or an acetabular replacement portion for the artificial hip joint), and formation of the porous structure on its surface. Three-dimensional additive manufacturing is also applicable to, for example, a spine cage, a spine device, or an artificial knee joint.
Acid etching was performed on the porous member 5 with an etchant containing an ammonium fluoride, a sulfuric acid, and a hydrogen peroxide. The inner surface of the porous member 5 also had a surface roughness value of a sub-micrometer order equivalent to the surface roughness value obtained through etching performed on the blasted surface treated through blasting.
The upper limit of the range of the surface roughness value Ra is, for example, 0.6 µm.In other words, the surface roughness value Ra may be specifically in a range greater than or equal to 0.2 µm and less than or equal to 0.6 µm.The implant body 2 having a surface roughness value Ra within this range can be firmly implanted into the base while achieving a sufficiently high removal torque value.
Sufficient engagement between the implant body 2 and the base may be achieved based also on the cycle of the unevenness on the outer circumferential surface of the implant body 2. The cycle of the unevenness may be shorter. In other words, the spatial frequency of the unevenness may be higher.
As an index including the cycle of the unevenness on the outer circumferential surface of the implant body 2, a surface roughness value Rlr described below is used. The surface roughness value Rlr is the ratio of the length of the first curve or the profile curve of the implant body 2 to the measurement length. The length of the first curve is the length of the first curve imaginary straightened into a straight line. As the cycle of the unevenness on the outer circumferential surface of the implant body 2 is shorter, the first curve is longer, and the surface roughness value Rlr is higher. In other words, for the surface roughness value Ra being fixed, the cycle of the unevenness is shorter as the surface roughness value Rlr is higher.
The graph in
As seen from
Thus, the implant body 2 may have the surface roughness value Rlr of greater than or equal to 1.5. The implant body 2 with this structure can be more firmly secured to the bone.
As described above, although the implant 1 and the method for manufacturing the implant 1 have been described in detail, the above structure and method are illustrative in all respects, and the disclosure is not limited to the above structure and method. The variations described above may be combined unless any contradiction arises. Many variations not specifically described above may be implemented without departing from the scope of the disclosure.
For example, instead of or in addition to etching, laser processing may be performed. The implant body 2 may thus have a surface roughness value Ra of greater than or equal to 0.2 µm.
Number | Date | Country | Kind |
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2020-014698 | Jan 2020 | JP | national |
Filing Document | Filing Date | Country | Kind |
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PCT/JP2021/002991 | 1/28/2021 | WO |